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https://www.readbyqxmd.com/read/28717274/three-dimensional-versus-two-dimensional-laparoscopy-in-urology-a-randomized-study
#1
Suresh B Patankar, Gururaj R Padasalagi
INTRODUCTION: Conventional two-dimensional (2D) laparoscopy systems have the drawback of poor depth perception and spatial orientation. Three-dimensional (3D) laparoscopic systems have stereoscopic vision in which depth perception is achieved by different unique images received by each eye. We evaluated 3D laparoscopy in comparison with conventional 2D laparoscopy in urological procedures in a prospective randomized study. MATERIALS AND METHODS: Over a 19 month study period, 108 patients scheduled to undergo various urological procedures were randomized to either conventional 2D or 3D laparoscopy (2D n = 53; 3D n = 55)...
July 2017: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://www.readbyqxmd.com/read/28716062/the-effects-of-acute-and-elective-cardiac-surgery-on-the-anxiety-traits-of-patients-with-marfan-syndrome
#2
Kálmán Benke, Bence Ágg, Miklós Pólos, Alex Ali Sayour, Tamás Radovits, Elektra Bartha, Péter Nagy, Balázs Rákóczi, Ákos Koller, Viola Szokolai, Julianna Hedberg, Béla Merkely, Zsolt B Nagy, Zoltán Szabolcs
BACKGROUND: Marfan syndrome is a genetic disease, presenting with dysfunction of connective tissues leading to lesions in the cardiovascular and skeletal muscle system. Within these symptoms, the most typical is weakness of the connective tissue in the aorta, manifesting as aortic dilatation (aneurysm). This could, in turn, become annuloaortic ectasia, or life-threatening dissection. As a result, life-saving and preventative cardiac surgical interventions are frequent among Marfan syndrome patients...
July 17, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28713853/factors-associated-with-acute-postoperative-pain-following-breast-reconstruction
#3
Anita R Kulkarni, Andrea L Pusic, Jennifer B Hamill, Hyungjin M Kim, Ji Qi, Edwin G Wilkins, Randy S Roth
INTRODUCTION: Post-mastectomy breast reconstruction has become an increasingly important component of breast cancer treatment. Unfortunately, some patients experience severe postoperative pain, placing them at risk for increased clinical morbidity and the development of disabling chronic pain. In an attempt to identify at-risk patients, we prospectively evaluated patient characteristics and medical/surgical variables associated with more severe acute post-reconstruction pain. METHODS: Women (N = 2207; one-week 82...
March 2017: JPRAS Open
https://www.readbyqxmd.com/read/28713689/relation-of-binge-eating-disorder-with-impulsiveness-in-obese-individuals
#4
Cenk Ural, Hasan Belli, Mahir Akbudak, Ali Solmaz, Zuhal Dogan Bektas, Fatih Celebi
AIM: To investigate the levels of impulsiveness, and the relationship between the binge eating disorder (BED) and the levels of impulsiveness in obese individuals. METHODS: Two hundred and forty-one obese patients who were included in the study and candidate for bariatric surgery (weight loss surgery) were clinically interviewed to identify the BED group, and patients were divided into two groups: Those with BED and those without BED. The comorbidity rate of groups was determined by using structured clinical interview for DSM-IV (SCID-I)...
June 22, 2017: World Journal of Psychiatry
https://www.readbyqxmd.com/read/28712976/repetitive-eating-questionnaire-rep-eat-q-enlightening-the-concept-of-grazing-and-psychometric-properties-in-a-portuguese-sample
#5
Eva M Conceição, James E Mitchell, Paulo P P Machado, Ana R Vaz, Ana Pinto-Bastos, Sofia Ramalho, Isabel Brandão, Joana Botelho Simões, Marta de Lourdes, Ana Catarina Freitas
BACKGROUND/OBJECTIVE: Grazing has been associated with poor weight loss or weight regain in obese patients undergoing bariatric surgery, but research remains scarce and complicated by the use of different non-validated measures. The aim of this paper is to describe the validation of the Rep(eat)-Q, a self-report measure developed to assess grazing, and investigates its relationship with BMI and psychopathology. SUBJECTS/METHODS: 1223 university students and community participants (non-clinical; Study A) and 154 pre-bariatric and 84 post-bariatric patients (Study B) completed a set of self-report measures, including the Rep(eat)-Q (worded in Portuguese), to assess disordered eating, depression, anxiety, stress and impulsivity...
July 13, 2017: Appetite
https://www.readbyqxmd.com/read/28711816/unilateral-subthalamotomy-in-parkinson-s-disease-cognitive-psychiatric-and-neuroimaging-changes
#6
Ignacio Obeso, Enrique Casabona, Rafael Rodríguez-Rojas, Maria Luisa Bringas, Raúl Macías, Nancy Pavón, Jose A Obeso, Marjan Jahanshahi
Unilateral subthalamotomy is an effective treatment for the cardinal motor features of Parkinson's disease (PD). However, non-motor changes possibly associated with right or left subthalamotomy remain unknown. Our aim was to assess cognitive, psychiatric and neuroimaging changes after treatment with unilateral subthalamotomy. Fourteen medicated patients with PD were evaluated before and after (mean 6 months after operation) unilateral subthalamotomy (5 right, 9 left). In addition to motor assessments, cognitive (global cognition and executive functions), psychiatric (apathy, depression, anxiety, mania, hypo- and hyperdopaminergic behaviours, impulsivity), quality of life evaluations and volume of lesions were obtained...
June 27, 2017: Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
https://www.readbyqxmd.com/read/28709832/relationship-between-patients-in-hospital-affects-recovery-from-total-knee-arthroplasty-tka-a-prospective-study
#7
Teng Lijia, Zeng Rui-Xi, Gong Long, Chen Lei, Liu Yujie, He Jin-Yun, Wang Zhen-Hu
BACKGROUND: The interaction between patients is rather important source of information about surgery and recovery. Patients always prefer particularly to compare themselves with others of relatively similar ability, opinion and situation. Exploration of patients' dyads, however, is rare and needs further elaboration as to the significance of fellow patients. This study was designed to determine in whether and how preoperative assignment affects TKA's results. METHODS: We assessed early post-operative outcomes in a cohort of 520 TKA patients...
July 11, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28709116/morbidity-persistence-and-comorbidity-of-mood-anxiety-and-eating-disorders-among-preoperative-bariatric-patients
#8
Leorides Severo Duarte-Guerra, Bruno Mendonça Coêlho, Marco Aurélio Santo, Francisco Lotufo-Neto, Yuan-Pang Wang
The current study investigates the patterns of disease persistence and comorbidity of psychiatric disorders among patients with class III obesity in pre-operative period. For 393 treatment-seeking patients with severe obesity recruited from a bariatric center, we ascertained their psychiatric diagnosis through Structured Clinical Interview for DSM-IV (SCID-I). Following, the frequency, persistence and comorbidity pattern of psychiatric disorders in this sample were determined. Current psychiatric disorders were observed in over half of patients during preoperative period, being anxiety disorders the most frequent diagnosis...
July 10, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28708923/preoperative-anxiety-and-its-influence-on-patient-and-surgeon-satisfaction-in-patients-receiving-dental-implant-surgeries-performed-under-intravenous-conscious-sedation
#9
Maite Bovaira, Alberto Herrero Babiloni, María Jovaní, Miguel Peñarrocha-Diago, Sandra González-Lemonnier, David Peñarrocha-Oltra
PURPOSE: The aims of this study were to evaluate the relationship of age, sex, and type and duration of the surgery with preoperative anxiety in patients undergoing dental implant surgeries under intravenous conscious sedation, and to assess preoperative anxiety association with the postoperative satisfaction of both the patient and surgeon. MATERIALS AND METHODS: This prospective study included 180 patients receiving dental implant surgeries under intravenous conscious sedation by means of midazolam, fentanyl, and propofol...
July 2017: International Journal of Oral & Maxillofacial Implants
https://www.readbyqxmd.com/read/28707384/a-visual-analog-scale-to-assess-anxiety-in-children-during-anesthesia-induction-vas-i-results-supporting-its-validity-in-a-sample-of-day-care-surgery-patients
#10
Johan M Berghmans, Marten J Poley, Jan van der Ende, Frank Weber, Marc Van de Velde, Peter Adriaenssens, Dirk Himpe, Frank C Verhulst, Elisabeth Utens
BACKGROUND: The modified Yale Preoperative Anxiety Scale is widely used to assess children's anxiety during induction of anesthesia, but requires training and its administration is time-consuming. A Visual Analog Scale, in contrast, requires no training, is easy-to-use and quickly completed. AIM: The aim of this study was to evaluate a Visual Analog Scale as a tool to assess anxiety during induction of anesthesia and to determine cut-offs to distinguish between anxious and nonanxious children...
July 14, 2017: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/28702898/perioperative-depression-or-anxiety-and-postoperative-mortality-in-cardiac-surgery-a-systematic-review-and-meta-analysis
#11
Hisato Takagi, Tomo Ando, Takuya Umemoto
We performed a systematic review and meta-analysis to determine whether perioperative depression and anxiety are associated with increased postoperative mortality in patients undergoing cardiac surgery. MEDLINE and EMBASE were searched through January 2017 using PubMed and OVID, to identify observational studies enrolling patients undergoing cardiac surgery and reporting relative risk estimates (RREs) (including odds, hazard, or mortality ratios) of short term (30 days or in-hospital) and/or late all-cause mortality for patients with versus without perioperative depression or anxiety...
July 13, 2017: Heart and Vessels
https://www.readbyqxmd.com/read/28698744/outcome-of-cardiac-rehabilitation-following-off-pump-versus-on-pump-coronary-bypass-surgery
#12
Reza Arefizadeh, Seyed Yaser Hariri, Adel Johari Moghadam
BACKGROUND: A few studies have compared the cardiac rehabilitation (CR) outcome between those who undergo conventional on-pump bypass surgery and off-pump surgery. We compared this outcome among the patients differentiated by the On-pump and off-pump surgical procedures about cardiovascular variables and psychological status. METHODS: This longitudinal study recruited 318 and 102 consecutive patients who had undergone CABG (on-pump surgery, n = 318 and off-pump surgery, n = 102) and been referred to the CR clinic...
June 15, 2017: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/28693599/determining-the-impact-of-24-7-phone-support-on-hospital-readmissions-after-aortic-valve-replacement-surgery-the-avrre-study-study-protocol-for-a-randomised-controlled-trial
#13
Irene Lie, Stein Ove Danielsen, Theis Tønnessen, Svein Solheim, Marit Leegaard, Leiv Sandvik, Torbjørn Wisløff, Jonny Vangen, Tor Henning Røsstad, Philip Moons
BACKGROUND: Patients undergoing surgical aortic valve replacement (sAVR) have high rates of 30-day readmissions. They also report a low health-related quality of life (HRQOL) and elevated anxiety and depression. The aim of the AVRre study is to determine the efficacy and cost of a 24/7 phone-support intervention in reducing post-discharge readmissions after sAVR. The nature of the support is to help patients better understand and self-manage non-urgent symptoms at home. METHODS/DESIGN: AVRre is a prospective, randomised controlled study comprising 30 days of continuous phone-support intervention and then intermittent follow-up for the first 12 months...
May 30, 2017: Trials
https://www.readbyqxmd.com/read/28688267/factors-affecting-lumbar-surgery-outcome-a-nation-wide-population-based-retrospective-study
#14
Vincent Chin-Hung Chen, Yao-Hsu Yang, Pin-Yuan Chen, Jen-Tsung Yang, Carl P C Chen, Chi-Jen Chen, Mong Liang Lu, Yena Lee, Roger S McIntyre, Yin-Cheng Huang
BACKGROUND: Lower back pain is a very common symptom and treatment strategies vary according the severity and duration of illness. Surgical approaches are becoming increasingly popular with the advent of new and less invasive technologies; however, treatment outcomes are not yet well established on a population-based level. Taiwan's National Health Insurance Research Database (NHIRD) is longitudinal and includes 98% of the population since its inception in 1995. The database includes the ICD 9...
June 28, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28683018/the-effectiveness-of-health-education-on-maternal-anxiety-circumcision-knowledge-and-nursing-hours-a-quasi-experimental-study
#15
Shu-Fang Chang, Chich-Hsiu Hung, Yu-Yun Hsu, Yi Liu, Tsu-Nai Wang
BACKGROUND: Many studies have shown that providing health education before surgery may significantly increase health knowledge and decrease anxiety in both patients and their family members. However, few studies have compared the effects on pediatric outpatient surgery outcomes of different health education instruction modes. PURPOSE: This study compares the effects of two health education delivery modes on maternal knowledge and anxiety, the number of unexpected early hospital follow-up visits, and the time spent by nurses on health education...
August 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28680716/chronological-changes-in-quality-of-life-after-distal-gastrectomy-for-gastric-cancer
#16
Ki Bum Park, Seung Soo Lee, Oh Kyoung Kwon, Ho Young Chung, Wansik Yu
PURPOSE: Patient quality of life (QoL) may be severely disrupted following distal gastrectomy for gastric cancer. This issue should be addressed to improve postoperative care. MATERIALS AND METHODS: QoL data from the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, and its gastric cancer-specific module, were administered to 202 patients preoperatively, and 5 years postoperatively. Patients were classified into subgroups based on their answers to each questionnaire item: group I (good), answering "not at all"; group II (fair), answering "a little"; group III (poor), answering "quite a bit" or "very much...
June 2017: Journal of Gastric Cancer
https://www.readbyqxmd.com/read/28678110/psychosocial-variables-contribute-to-length-of-stay-and-discharge-destination-after-lumbar-surgery-independent-of-demographic-and-clinical-variables
#17
Carol A Mancuso, Roland Duculan, Chad M Craig, Federico P Girardi
STUDY DESIGN: Prospective analysis of resource utilization (RU) after lumbar surgery. OBJECTIVE: To determine contributions of patient psychosocial variables to RU, specifically length of stay (LOS) and discharge destination. SUMMARY OF BACKGROUND DATA: Associations between demographic/clinical variables and RU are well-established; less is known about associations between psychosocial variables, such as social support and depressive/anxiety symptoms, and RU...
July 3, 2017: Spine
https://www.readbyqxmd.com/read/28676679/disinhibited-eating-mediates-differences-in-attachment-insecurity-between-bariatric-surgery-candidates-recipients-and-lean-controls
#18
L L Wilkinson, A C Rowe, C Sheldon, A Johnson, J M Brunstrom
Previous research has shown that attachment anxiety is a good predictor of body mass index (BMI). This relationship is significantly mediated by disinhibited (over-) eating and is likely to reflect a specific form of affect regulation. This study explored whether obese bariatric surgery candidates (BSC; N=34) and bariatric surgery recipients (BSR; N=15) would show higher levels of attachment insecurity (higher attachment anxiety and/or higher attachment avoidance) than a group of age and gender-matched lean controls (N=54)...
July 5, 2017: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/28668857/self-efficacy-for-coping-with-cancer-enhances-the-effect-of-reiki-treatments-during-the-pre-surgery-phase-of-breast-cancer-patients
#19
Andrea Chirico, Giuseppe D'Aiuto, Antonella Penon, Luca Mallia, Michelino DE Laurentiis, Fabio Lucidi, Gerardo Botti, Antonio Giordano
BACKGROUND/AIM: Self-efficacy for coping with cancer plays a critical role in influencing psychological cancer-related outcomes, some studies suggested its role in enhancing or reducing the effects of psychological interventions in cancer patients. Reiki has recently been included among the efficacious complementary therapeutic intervention for cancer patients. PATIENTS AND METHODS: The present study evaluated the role of self-efficacy for coping with cancer as buffer of the Reiki treatment effects on cancer-related symptoms in a randomized controlled trial (intervention versus control group) of breast cancer patients (N=110) during the pre-surgery phase...
July 2017: Anticancer Research
https://www.readbyqxmd.com/read/28667690/sympathetic-and-parasympathetic-cardiac-responses-to-phobia-relevant-and-disgust-specific-emotion-provocation-in-blood-injection-injury-phobia-with-and-without-fainting-history
#20
Erica Simon, Alicia E Meuret, Thomas Ritz
The autonomic regulation in blood-injection-injury (BII) phobia has received particular attention due to the unique link between fear and fainting in this anxiety disorder. However, systematic exploration of sympathetic and parasympathetic cardiac activity during exposure to phobia-relevant emotional stimuli has remained rare and inconclusive, including with regard to disgust, a frequent response to BII stimuli. Existing studies using respiratory sinus arrhythmia (RSA) as a noninvasive index of parasympathetic cardiac activity also have not accounted sufficiently for effects of respiration...
June 30, 2017: Psychophysiology
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